FATADE HEALTH AND MEDICAL CENTER (NPI# 1598883738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598883738 |
| Entity Type | Organization |
| Organization Name | FATADE HEALTH AND MEDICAL CENTER |
| Practice Address |
255 Riverside Dr Bassett VA 24055-4299 |
| Practice Telephone | 2766278070 |
| Practice Fax Number | 2766278069 |
| Mailing Telephone | 2766278070 |
| Mailing Fax Number | 2766278069 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. AYOKUNLE OMOTADE FATADE (PRESIDENT) |
| Authorized Official Telephone | 8566278070 |
| Authorized Official Credential | D.O |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 0102201991 | VA | Ambulatory Health Care Facilities |
| Street Address |
255 RIVERSIDE DR |
| City | BASSETT |
| State | VA |
| Zip Code | 24055-4299 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598267544 | Serita Danielle Willis | Private Vehicle | 2557 Willie Craig Road, Bassett, VA 24055 | 2018-03-06 |
| 1104237221 | Harder's Drugstore | Pharmacist | 3433 Fairystone, Bassett, VA 24055 | 2014-05-12 |
| 1164669628 | Bassett Rescue Squad Incorporated | Ambulance | 1950 Riverside Drive, Bassett, VA 24055 | 2009-01-20 |
| 1497839625 | William Harder | Pharmacist | 3433 Fairystone Park Hwy, Bassett, VA 24055 | 2006-10-24 |
| 1508929712 | Tony Allen Ramsey | Dentist | 15 Ridgewood Road, Bassett, VA 24055-1601 | 2006-12-18 |
| 1942380811 | David L. Morris | Dentist | 3441 Fairystone Park Hway, Bassett, VA 24055-1607 | 2006-10-16 |
| 1558444091 | Susan L. Morris | Dentist | 3441 Fairystone Park Hway, Bassett, VA 24055-1607 | 2006-10-20 |
| 1053858951 | Glenda's Cd Service | Case Management | 901 Graceland Dr, Bassett, VA 24055-3564 | 2017-01-30 |
| 1891933834 | Walter D Street | Contractor | 573 Mount Hermon Church Rd, Bassett, VA 24055-3569 | 2009-01-29 |
| 1851623045 | Kimberly Dawn Edwards | Physical Therapy Assistant | 282 Woodberry Rd, Bassett, VA 24055-3722 | 2010-02-12 |
| Find all providers in zip 24055 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| 1053952846 | Mediluxe | Clinic/Center | 19349 Diamond Lake Dr, Leesburg, VA 20176-6596 | 2019-10-02 |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.